IndividualActive
Nivedita Prasanna, M.D.
NPI 1255713343 · Critical Care Medicine (Internal Medicine) Physician · Jackson, TN
Provider details
- NPI number
- 1255713343
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125067100 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Practice location
620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Fax: (731) 660-8739
Approximate (ZIP-level) locationGet directions
Mailing address
620 Skyline Dr
Jackson, TN 38301-3923
Additional practice locations (1)
- 2150 Pennsylvania Ave NwWashington, DC 20037-3201Phone: (202) 741-3000
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.